HomeMy WebLinkAbout10198349 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Permit#: {O{98349
Pin #: 5675{
q
Proiect Address: 1218 N French St
Assessor's Parcel 398-027 -25 Lot: 2
Unit Bldg: Address Range
Tract: HERVEY'S SUB
Suite Range:
Zoning: SDl9Block: NA Historic: Yes
Patio:
T.l.Area:
Yards Req'd:
Valuation:
0@0
$12,000.00
planning Conditions:Any repairs/replacement of eaves, rafters, & fascia must meet standards for historic rehabilitation- i,' .1ii r i ,
Owner:
Address:
Phone:
Tenant:
Contractor
Addressl
Phone:
Slate Lic #
JEFF DICKMAN
I218 N FRENCH ST
Santa Ana, CA 92705
(714) 240-0883
Not Specified
Certified Rooting Specialist!
9281 Larkspur Dr
Westminster, CA 92683
(714) 668-0757
956843
Lic Type: C-39
Bus. Lic #: 337515
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 1949902
Expires: 1210112014
Engineer
Address:
Acct+: Refi: 1(t198]19
Rcr'tilD2442i91 - l[/13/20tg 4,12 t 1
Trsnscct ion Totol t797 .'i4Jose Vogcuez
CePtil ied Rool ine Speciol istsPhone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Generol Plon Updote Fee
01116002- 516r't0$00-
Bt' i Id ine
01 1 160r-'12- i1 6r',r100r't-
BIdg Stds Revslv ing
0111600?- 5161200tr-
V is$
CC+ : x*r*****i***tl37g
ril
Aulrh+ : l-tr. .r
Planning Approval By:
Plan Checked By:
Permil lssued By:
NPDES lnsp. Req'
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Fire lnsp. Req'd:
Police lnsp. Req'd
,lvlanny
ki, Teri
DaIe: 1111312018 Misc. Receipl
Date: Misc. Receipt
Oate: 11l13t2},l8 Misc. Receipt
Subject to Field:
No
No Account#
07776002 51601 Permit Fee
07776002 57672 Bldg. Stds. Revolving
07776002 5t600 General Plan Update
07776002 51601 lssuance
$320.50
$1 .00
$22.08
$55.04
o
No
No
No
Total
Flood Zone Cert. Req'd: No 011 16002 5.|600
Every pemit issued shall bocome invalid unless the wotu on lhe sile aulhoized by
such pemit is commenced within 180 days aftar ils issuance,or if the work duthoized
on the site by such pemit is suspended or abdndoned for I period of180 days aftet
the lime the wo* is commenced.
$398.62
$0.00
$398.62
lnspector
011 16002 51601
011 16002 51612
$22.08
$375.54
$1.00
Fee Total:
Paid to Date:
Balance Due:
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area:
Job Type: Reroof Constr Type: V B 2nd FL Area:
Nature ofwork: Reroof Code: CBC 2016 Other Areas:
Existing Bldg. & Use: SFD WDET GARAGE Flood Zone: X-0602320163J Garage Area:
Proposed Use: # of Stories:
Totat:
Doscription of Work: Reroof sfd & det garage. Tear-off & apply composition shingles. Handout given.
MID#: 20'18-147636
BUILDING- INSPECTOR RECORD
SITE.WORK DATE tD/stG.COMMENTS O\INI'R BTIILD€R DIit,('ARATION
I hscby arm undd pcnally of psjury lhat I ex€nrpl lrom lhc ( onlmcloc l.iccnse Lw lor th. aollowing r@tr (Sec.7ol l.5
B6in6s d P.ofsion Code): Any Cny or Counly shich rcqun6 a pmnil to construd. al!6, inptove, dmolish o! rcpnr ey
srtucr@. piior ro its isuuc€. also rcqun6 lhe appli.el for such Fnit lo file 5 sisn€d al@or thd h. or shc it li.osd pusudl
lo lh€ Fovisions of $. conlraclois t,ic.ns€d kw (Chapl6 9. CoMc.ci.s *irh Sation 7000 of Division I ofln. Busin6 sd
Prof6ions Cod.) or thd hcorshc B qcdpr tha.6on Md rh. bsis for rhc all€s.d cxoBtn l\.,viol.lionolsclion70115by y
,fi,li.anrtordp6mn3ubtcrsthc.pplicelloacivilpdallyofnotmor.rhanlir.hundr.ddollds($500)
l. 6 osn6 ollhc lroFly, omry emPlo)€s with s a-!6 6 th.ir $lc codptuarion. $ill do th€ \ o* ad th. slru.lm G nol
io(H or ofiEcn lor el. (Se 7044. Auins ed PDasiors Cod€ Thc Conr.ctoa s Licre Law do* nor tpply ro an oNnr of
rherrnpdr (no b{ilds or nnpovG th6sq ad who doB such *.d. hnnsclf o! h.rlr or lfitungh his or hd ovn cmPloy.6.
providcd rhar surh mproBmrs @ nol htflded or o,fald fitr slc Ir, ho(46. rlE hlildios o, inPIo\ ddr is $kt \ei'hin on{ yEr
oacomphbn. lhs O$nr Buildo Gll h,rc lh. htrdd ol provins Ihn nc or Ct di.l nor b{ild or inPto\! d€ lropoly fot $c p'trpos of
-1,
as.Nnd olrlr popdly. dn erclusivelyconlraclins *,(h li.cds.J . onn a.ds b consrrucl lhc projRt lse. 7044, Bu$nB\
d Pol6sion Cod€: l hc cdntacrofs Li.ense Law doB.ol apply lo sno\snd olproPeny who buil(ls o' idProvB rhaeotr.
and *ho.onta.lslorstr.hprcj€cls{ilhaConlBdo(rlrcc.scdpusmntloth€cont.clofsLicm.La\r)
I m.r.mbt und.r S6ton ,B & PC for'hisrGon
D.r.: oind:
UORXERS' COI\IPENSATIONpEc!48{t!o!
I hdel,, ailnn ondd p6ohy of lEjury oo. of rhe follorsina drle.rioB
I hav€ dd vill Minran . cBlificar€ of Co,Ml to Sclf- lreure for wo.k6 co.'P.n!arion, 6 Folid.d for bv S(rion 1700 ollhc
t bor Cod.. lor thc rrloddce oflhe vork ior wticn the Fmil is isu.d.
I hav€and *illiaintain work.rr co,npeGarion insu.anc.. ar rcqdncd by S(tion 1700 oflh. L2b.t code. for lh. pqlonnocc of
rhe Nork (tr r hich this pdnrit is i$uen. My worreu comp.@rion iNurmcc csi6 and polic) nurb.r dc:
Policy Nunb€.
-Expircs:
I cdlily rhar in rhc pqaoflnaiccoanE wort for $hich rhis pcrmil is ilsudd.I dDllnoi dnployry pden in a.v m ncr
s {s ro bc.om. subiet to lhc vo 6 .oiptualion laws o I califomia. Nd 5sc Ihal ifl shoold b€comc subjd ro lhe
r0lt6 convdMtion povisioN orScrion 1700olrht tlbor Cod€. I shlll. lonhwi$ comPly wilhltosprcvisioN
WAiN,NO: F6ilur. ro *u. sorlss corp.Nrio. sv@r. i5 u.hwtul. and 3tallsubjal & dplovd to on ral Falti6 Md
civil fin.s up lo one huhdr.d ihoused
Sctiotr 1076 orlhc ttrbor Codc, ime6t
addnion to rhc cosl oi conp.@lio.. dmas6 6 provdeJ ao. rhc
l2ir(raafra)
I h.Eby amm uod6 FDlrt of pdjury tbal I m lic..scd unds pmvtion ofchaPl6 9 (commmins *irh s.dion 7000) of Dirision I
ol rh. BsinB md PmfBioN Code. and nr licm. is in full fora dd cfi<r.
q5 EL{
tr I r?G'
I hGby nflim und.a pdnhy o I per.,ury thal I
issued (56.' :1097, Civ (.)
on lcndiuasency rorlhcp{fommceollhe\co!k ror \rhich rhis p.mril G
AIII,rcAULIIECIAAAIIOX
I ho$, dtfm undd F.alty of pcjur,v ore ollh€ follo*ins ddle.lioal
D.molirioo Pd'ts-Asb6tos Nolificatio. F.dsal Resllalions ('1 Ic,10, Pan6)
-R€qun.d
Lcllr ol Notifidion
Set Backs
Erection Pads
SLAB Floor
Subf loor/VenUl nsulation
Roof Sheathing (t L\'ti '--2..,+-U)
Shear Wall
Framing
lnsulation/Energy
Dryvva ll
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
FINAL /2.1-/5.[,/,(rh r vd
Certificate of Occupancy
Notes, Remarks, Etc.
Forms/Steel/Holdowns
UFER Ground
Flood Zone Certif.
,",", t) 1rr lrg'
thc leddal leau lal ions rexddins 6b.slos rsnoraldc nol @plicablc lo lhn nnrje.r
I hr\. i.rirhn r|rd(xto
dd Co mt ro ole trponlhe
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